Dose-response effects of wild blueberries on appetite and cardiovascular health

ISRCTN ISRCTN11726069
DOI https://doi.org/10.1186/ISRCTN11726069
Submission date
28/10/2024
Registration date
15/11/2024
Last edited
30/10/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
The aim of this study is to establish the dose-dependent ability of anthocyanin-rich wild blueberries to inhibit the post-meal rise in blood glucose and thereby activate gut-brain signalling through delayed starch digestion. Anthocyanins are found abundantly in blueberries and have been shown to have many beneficial activities. The study builds on the hypothesis that the presence of undigested starch along the gut can stimulate gut hormone secretion and thereby control appetite through gut-brain communication.

Who can participate?
Healthy male and female volunteers aged 18-56 years with no medical conditions and not taking medication

What does the study involve
Participants will be asked to come to the study facilities on four occasions to receive a placebo or blueberry product in three different dosages in a random order, with at least 5 days break between study visits. Participants will have measurements taken before consumption of a high-carbohydrate meal and the test drink.
Continuous glucose monitoring will be used to determine glucose response, and venous blood samples will be taken at each visit in regular 30-minute intervals up to 180 minutes to measure insulin and satiety hormone levels. Satiety will also be determined through hunger/satiety ratings taken periodically across the study day.
The researchers will also measure acute blood pressure changes following the intervention and perform cognitive tests at baseline and after 1.5 hours, timed to coincide with the expected maximum presence of anthocyanins in the circulation.

What are the possible benefits and risks of participating?
There are no direct benefits from participation in the study other than the participants being compensated for their time. There are a few risks to participation, mainly pertaining to drawing blood samples through cannulation which can leave bruises and is also associated with a risk of feeling dizzy or fainting.

Where is the study run from?
University of Leeds (UK)

When is the study starting and how long is it expected to run for?
June 2022 to October 2023

Who is funding the study?
Wild Blueberry Association of North America (USA)

Who is the main contact?
Dr Christine Bosch, c.bosch@leeds.ac.uk

Contact information

Dr Christine Bösch
Principal Investigator

School of Food Science and Nutrition
University of Leeds
Leeds
LS2 9JT
United Kingdom

ORCiD logoORCID ID 0000-0001-6705-5709
Phone +44 (0)800 915 0402
Email c.bosch@leeds.ac.uk
Dr Lucy Ellis
Public, Scientific, Principal Investigator

School of Psychology
Leeds
LS2 9JT
United Kingdom

ORCiD logoORCID ID 0000-0002-0750-7248
Phone +44 (0)1133437000
Email fs15lre@leeds.ac.uk
Prof Louise Dye
Scientific

School of Food Science and Nutrition
Leeds
LS29JT
United Kingdom

ORCiD logoORCID ID 0000-0002-2331-4227
Phone +44 (0)800 915 0402
Email l.dye@leeds.ac.uk

Study information

Study designSingle-centre randomized double-blind placebo-controlled crossover study
Primary study designInterventional
Secondary study designRandomised cross over trial
Study setting(s)University/medical school/dental school
Study typeEfficacy
Participant information sheet 46302_PIS.pdf
Scientific titleEffects of wild blueberry on obesity – a pilot dose-response study targeting starch digestion and satiety through activation of gut-brain axis
Study objectivesThe principal hypothesis of this study is that consumption of increasing concentrations of an anthocyanin-containing blueberry drink would decrease postprandial glucose concentration and increase satiety hormones in a dose-dependent manner. It was further hypothesized that a blueberry intervention would beneficially impact cognitive function under the postprandial high carbohydrate load, compared to placebo.
Ethics approval(s)

Approved 24/03/2023, University of Leeds Psychology Ethics Committee (University of Leeds, Leeds, LS2 9JT, United Kingdom; +44 (0)113 343 7601 ; psyc-ethicssubmissions@leeds.ac.uk), ref: PSYC-855

Health condition(s) or problem(s) studiedReduction of postprandial glycaemia
InterventionThe study is conducted using a counterbalanced crossover trial design, with each participant acting as their own control. Participants will attend the lab on four separate occasions, separated by at least 5 days. After completing baseline measurements, participants will be asked to consume a high-carbohydrate breakfast (70 g carbohydrates) with a different study drink at each visit. Drinks include a placebo (0 mg anthocyanins) or three freeze-dried blueberry beverages containing 150, 300 or 450 mg anthocyanins. Interstitial glucose, blood pressure, Visual Analogue Scales and cognitive function are measured across a 3-hour study period as well as venous blood samples to analyse postprandial satiety hormone concentrations (insulin, GLP-1, PYY and GIP).

Participants will be randomised to intervention order in a counterbalanced method using “visual basic for applications” coding in Excel. The same coding applies to counterbalancing each form of the cognitive tests.
Intervention typeSupplement
Primary outcome measureInterstitial glucose measured by continuous glucose monitoring at baseline and every 15 minutes across a 3-hour postprandial period
Secondary outcome measures1. Blood pressure measured using an automatic blood pressure monitor at baseline and every 30 minutes
2. Appetite measured using visual analogue scales at baseline and every 30 minutes
3. Incretin hormones measured using venous blood samples from cannulation at baseline and every 30 minutes
4. Cognitive function measured using the Visual Verbal Learning test (VVLT), Corsi Block tapping test (Corsi) and the Rapid Visual Information Processing task (RVIP) at baseline and at 90 minutes after consumption of the drink
Overall study start date01/06/2022
Completion date28/10/2023

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
Upper age limit56 Years
SexBoth
Target number of participants24
Total final enrolment24
Key inclusion criteria1. Between 18 – 56 years of age
2. Body mass index (BMI) <27.0 kg/m2
3. Be in general good health (with no known food allergies/intolerances)
4. Not taking any medication/s known to affect blood pressure, blood glucose (like diabetic medication) or cholesterol
5. Not be pregnant or planning a pregnancy within the next 3 months. Not have been pregnant or lactating within the previous 6 months
6. Not menopausal
7. Like all the study foods and test products (checked at screening)
8. Be a non-smoker (for at least the last 6 months)
9. Sufficient fluency in the English language to be able to understand the study instructions and questionnaires
10. Willing to visit the laboratory for a screening session (1 hour) and 4 test mornings (8.00 am – 12.00 pm)
Key exclusion criteria1. Age <18 or >=56 years
2. BMI >27 kg/m2
3. Blood donation <3 months prior to the study or for the full duration of the study
4. Food allergy, intolerance, restriction or avoidance of the study beverage or control beverage or history of anaphylactic reaction to any food
5. Habitually consuming >14 units/week of alcohol in women or >21 units/week in men in the last 3 months
6. For women: pregnancy, lactation, perimenopause
7. No access to mobile phone and internet
8. Simultaneous participation in other relevant studies
Date of first enrolment01/04/2023
Date of final enrolment28/10/2023

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

University of Leeds
Woodhouse Lane
Leeds
LS29JT
United Kingdom

Sponsor information

Wild Blueberry Association of North America
Research organisation

Wild Blueberries
PO Box 100
Old Town
Maine
04468
United States of America

Phone +1 (0)207 581 1862
Email administrator@WBANA-US.com
Website https://www.wildblueberries.com/health-benefits/research/

Funders

Funder type

Research organisation

Wild Blueberry Association of North America

No information available

Results and Publications

Intention to publish date01/01/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planThe data sharing plans for the current study are unknown and will be made available at a later date

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 30/10/2024 No Yes

Additional files

46302_PIS.pdf

Editorial Notes

28/10/2024: Study's existence confirmed by University of Leeds Psychology Ethics Committee.